Identities/MBR-007173
Gold, golden identity

Raymond V Riley

3 source records from 3 feeds.

MBR-007173Verified3 records

Golden record

Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip

First nameCLM
Raymond
Middle nameENR
V
Last nameENR
Riley
Date of birthENR
1973-12-25
GenderENR
M
Member IDENR
UHC-77200-05
SSNENR
•••-••-8821
PhoneTPA
8128431450
EmailENR
raymond.riley@icloud.com
AddressENR
375 Market St
CityENR
Scottsdale
StateENR
AZ
ZIPENR
85269
GroupENR
GRP-0790
PlanENR
OPTIONS-PPO
Min confidence
0.97
Sources
TPA ×1CLM ×1ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

Source records linked to this identity and the confidence of each link

0.970.990.99TPATPA-51508CLMCLM-403470ENRENR-104507IDMBR-007173
Golden identityEnrollmentClaimsProvider networkThird-party administratorAuto link (at or above 0.85)Below thresholdSteward link

Linked source records

Silver values for each record in the cluster, and how it was attached

RecordSourceReceivedNameDOBMember IDPhoneAddressMethodConfidenceRule
TPA-51508TPA2026-01-24Raymond Rileyflagged1973-12-25—8128431450375 Market St, Scottsdale, AZRule0.97D2 ssn4 + dob + last name
CLM-403470CLM2026-04-07Raymond Rileyflagged1973-12-25UHC-77200-05——Rule0.99D1 member id + dob exact
ENR-104507ENR2026-08-17Ryamond Rileyflagged1973-12-25UHC-77200-05—375 Market St, Scottsdale, AZRule0.99D1 member id + dob exact

Evidence

3 scored pairs among these records, expand a row for the per-field comparison

ABScoreMethodRuleDecision
▶CLM-403470CLMENR-104507ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-51508TPACLM-403470CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-51508TPAENR-104507ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

No actions yet
Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automaticallyab497e836c
    matching_agent, ENR-104507, identity id MBR-007173, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403470
  • 2026-10-22 12:43:53Record linked automatically12c15163b0
    matching_agent, CLM-403470, identity id MBR-007173, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104507
  • 2026-10-22 12:43:53Record linked automatically5524cbd5e8
    matching_agent, TPA-51508, identity id MBR-007173, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-403470
  • 2026-10-19 19:54:38Record linked automatically90dbdbeb05
    matching_agent, ENR-104507, identity id MBR-007173, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403470
  • 2026-10-19 19:54:38Record linked automatically861a31a919
    matching_agent, CLM-403470, identity id MBR-007173, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104507
  • 2026-10-19 19:54:38Record linked automaticallya7f90eee87
    matching_agent, TPA-51508, identity id MBR-007173, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-403470
  • 2026-10-19 19:52:09Record linked automatically61d18643c1
    matching_agent, ENR-104507, identity id MBR-007173, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403470
  • 2026-10-19 19:52:09Record linked automatically09c8e2fcf7
    matching_agent, CLM-403470, identity id MBR-007173, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104507
  • 2026-10-19 19:52:09Record linked automatically23e98e7150
    matching_agent, TPA-51508, identity id MBR-007173, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-403470
  • 2026-10-19 19:45:42Record linked automaticallybdcfd5111d
    matching_agent, ENR-104507, identity id MBR-007173, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403470
  • 2026-10-19 19:45:42Record linked automatically7f8564d8a1
    matching_agent, CLM-403470, identity id MBR-007173, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104507
  • 2026-10-19 19:45:42Record linked automaticallyd15b232c24
    matching_agent, TPA-51508, identity id MBR-007173, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-403470
  • 2026-10-19 19:32:31Record linked automatically21e54b8ee4
    matching_agent, ENR-104507, identity id MBR-007173, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403470
  • 2026-10-19 19:32:31Record linked automaticallye77551384c
    matching_agent, CLM-403470, identity id MBR-007173, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104507
  • 2026-10-19 19:32:31Record linked automatically8f12dc0107
    matching_agent, TPA-51508, identity id MBR-007173, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-403470
  • 2026-10-19 19:31:28Record linked automaticallycf7c40049b
    matching_agent, CLM-403470, identity id MBR-013106, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403469
  • 2026-10-19 19:31:28Record linked automaticallyf77dc08c2b
    scoring_agent, TPA-51508, identity id MBR-012545, confidence 1, method probabilistic, matched record ENR-104392, policy version 1
  • 2026-10-19 19:31:28Record linked automatically13b1b3e206
    scoring_agent, ENR-104507, identity id MBR-005150, confidence 0.99, method probabilistic, matched record PRV-21054, policy version 1

Claims for this member

Claims attached through the identity graph; holds follow open steward cases automatically

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0047492026-03-16Evergreen Primary Care Associates
in network
99395, 99203$470.00—DeniedDenied